Manaʻo ka poʻe he nui he maʻi ka ʻAnkylosing Spondylitis e hoʻopilikia wale ana i ka iwi kuamoʻo. He ʻoiaʻiʻo kēlā, hoʻopilikia nui ia i nā hono o ke iwi kuamoʻo. Akā ua ʻike anei ʻoe hiki i kēia maʻi ke hoʻopilikia i nā ʻāpana ʻē aʻe o ke kino, ʻoiai ko kākou mau maka? I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi pilina koʻikoʻi loa i ʻike ʻole ʻia e ka poʻe he nui. ʻO ia ka pilina ma waena o ka ʻAnkylosing Spondylitis a me ke ʻano maka ʻo Uveitis.
He aha ka Uveitis?
I ka ʻōlelo maʻalahi, ʻo ka 'Uveitis' kahi mumū, ʻo ia hoʻi, ka pehu ʻana, o kahi membrane i loko o ko kākou maka. Hana ʻia ko kākou maka i kekahi mau papa, e like me ka ʻakaʻakai. Ua kapa ʻia ka papa waena ʻo (Uvea) . ʻO ka ʻāpana kala o kou maka, ʻo ia hoʻi, ka (Iris) i uliuli a ʻeleʻele paha i kekahi poʻe, he ʻāpana nō hoʻi ia o kēia 'Uvea'. No laila, ʻo ka pehu ʻana o kēia membrane 'Uvea' ua kapa ʻia ʻo (Uveitis) . Inā ʻo ka 'Iris' wale nō ka mea i hoʻopilikia ʻia, ua kapa ʻia hoʻi ʻo (Iritis) .
Ma waena o 30% a me 40% o ka poʻe me Ankylosing Spondylitis e loaʻa iā Uveitis i kekahi manawa o ko lākou ola, no laila he mea nui e ʻike i kēia.
He aha nā hōʻailona? Pehea ʻoe e ʻike ai?
E noʻonoʻo, ua loaʻa iā ʻoe ka ʻeha hope no kekahi manawa, a ua ʻoʻoleʻa ʻoe i ke kakahiaka. Ke ʻike ʻoe i ke kauka, ua ʻike ʻo ia he 'Ankylosing Spondylitis'. I kēia manawa ke lawe nei ʻoe i ka lāʻau lapaʻau no ia mea. ʻOiai ʻoe e like me ia, ua ʻulaʻula koke kekahi maka a hoʻomaka e maneʻo. He mea paʻakikī ke nānā aku i ke kukui. Manaʻo paha ʻoe, 'He aha ka mea i hana ʻia i kēia, ua hana ʻia kekahi mea i kou maka?' Manaʻo ka poʻe he maʻi maka maʻamau kēia. Akā he hōʻailona paha kēia o 'Uveitis', kahi kūlana e pili ana i kāu maʻi 'Ankylosing Spondylitis'.
ʻAe, e nānā kākou i nā hōʻailona o kēia maʻi 'Uveitis'. Hiki ke ʻike koke ʻia kēia mau mea, no laila he mea nui loa ka makaʻala i kēia.
| Hōʻailona | Wehewehena |
|---|---|
| ʻUlaʻula o ka maka | ʻUlaʻula o ke keʻokeʻo o ka maka. |
| ʻEha maka | He ʻeha ʻoi a hou e puka mai ana mai loko mai o ka maka. |
| ʻIke i ka mālamalama (Photophobia) | Ka paʻakikī i ka nānā ʻana i ka mālamalama ʻālohilohi, e polū ana nā maka. |
| ʻIke pōwehiwehi | Ka ʻike maka maopopo ʻole, me he mea lā aia ʻoe i loko o ka noe. |
| Nā waimaka nui | Ke kahe nei nā waimaka mai nā maka mai me ke kumu ʻole. |
ʻIke pinepine ʻia kēia mau hōʻailona ma ka maka hoʻokahi, akā i kekahi manawa hiki iā lākou ke hoʻopilikia i nā maka ʻelua. Hiki ke hoʻomaka koke kēia a hiki ke alakaʻi i ka nalowale mau o ka ʻike inā ʻaʻole mālama pono ʻia, no laila inā ʻike ʻoe i kekahi o kēia mau hōʻailona, pono ʻoe e ʻike i kahi ophthalmologist, he kauka loea i nā maka, me ka hoʻokaʻulua ʻole.
Aia kekahi mau ʻano o ka uveitis?
ʻAe, hiki ke hoʻokaʻawale ʻia ka Uveitis i ʻehā mau ʻano nui ma muli o kahi e loaʻa ai ka mumū i loko o ka maka. E nānā kākou i ke ʻano o lākou.
| ʻAno Uveitis | ʻO ka ʻāpana o ka maka i hoʻopilikia ʻia |
|---|---|
| ʻO ka uveitis mua | Hoʻopilikia ia i ka ʻaoʻao mua o ka maka (ma waena o ka cornea a me ka ʻaoʻao kala o ka maka ) . Ua kapa ʻia hoʻi kēia he iritis . ʻO kēia ke ʻano maʻamau o ka iritis i nā poʻe maʻi me Ankylosing Spondylitis. |
| ʻO ka uveitis waena | Hoʻopilikia ia i ka retina , nā kīʻaha koko, a me ka ʻāpana e like me ka jelly o ka maka (kino vitreous) ma hope o ke aniani. |
| ʻO ka uveitis hope | Hoʻopilikia ia i ka papa o loko o ke kua o ka maka, ka retina a i ʻole ka choroid . |
| ʻO ka maʻi panuveitis | Ke pālahalaha ka mumū i nā papa āpau o ka uvea , mai ke alo a i ke kua o ka maka. |
Pehea e ʻike ʻia ai a mālama ʻia ai ka maʻi?
Inā loaʻa iā ʻoe ka Ankylosing Spondylitis, he mea nui e makaʻala pono i kou mau maka. ʻOi loa aku inā ʻike ʻoe i kahi manaʻo pana i kou maka, ʻulaʻula a me ka ʻeha, a i ʻole ka ʻike pohihihi, mai hoʻowahāwahā iā lākou. E kamaʻilio me kāu kauka i ka wā hikiwawe loa. Hiki i kēia ke kōkua i ka pale ʻana i ka kuhi hewa ʻana a hoʻomaka i ka lāʻau kūpono i ka wā hikiwawe loa.
I kekahi manawa, i ka nānā ʻana i kahi mea i loaʻa i ka uveitis mua mau, ʻike ʻia ua loaʻa iā lākou ka Ankylosing Spondylitis i ʻike ʻole ʻia ma mua. Aia kahi pilina ikaika ma waena o nā maʻi ʻelua.
ʻIkepili
E ho'āʻo mua kāu kauka e hoʻoholo i ke kumu pololei o kāu mau hōʻailona, ʻoiai hiki ke hana ʻia ka uveitis e nā kūlana ʻē aʻe (e like me syphilis, tuberculosis, a i ʻole ka maʻi Lyme).
ʻO kahi hoʻāʻo kūikawā i hana ʻia he hoʻāʻo koko e nānā i ke alo o kahi gene i kapa ʻia ʻo (HLA-B27) . Loaʻa kēia gene i kahi pakeneka nui o nā maʻi Ankylosing Spondylitis, ma kahi o 88%. He kōkua nui kēia hoʻāʻo i ka hōʻoia ʻana i ka hōʻailona.
Lapaʻau
ʻO ka maʻamau, ʻo ia ka hoʻohana ʻana i nā kulu maka a i ʻole nā inikini e loaʻa ana nā corticosteroids , ka mea e kāohi ai i ka mumū a me ka pehu i loko o ka maka.
Eia nō naʻe, ma muli o ke koʻikoʻi o kou kūlana a me ka pinepine o kona hana ʻana, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau hou aʻe. Mai hoʻōki i ka lawe ʻana a i ʻole ka hoʻōki ʻana i ka lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me ke kauka.
Leka Lawe-Home
- ʻAʻole wale ka Ankylosing Spondylitis he maʻi e hoʻopilikia ai i ka iwi kuamoʻo. Hiki iā ia ke hoʻopilikia i kou mau maka, e hana ana i kahi maʻi i kapa ʻia ʻo uveitis.
- E makaʻala mau i nā hōʻailona e like me ka ʻulaʻula o nā maka, ka ʻeha, ka paʻakikī i ka nānā ʻana i ka mālamalama, a me ka ʻike maka pōwehiwehi.
- Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e ʻike koke i kahi loea maka. ʻO ka hoʻopaneʻe ʻana i ka mālama ʻana hiki ke alakaʻi i ka hōʻino mau loa ʻana o ka ʻike.
- Ke ʻike ʻoe i ke kauka maka, e haʻi pono iā ia he Ankylosing Spondylitis kou.
- Aia nā lāʻau lapaʻau kūpono loa no kēia. ʻO ka wikiwiki o ka hoʻomaka ʻana o ka lāʻau lapaʻau, ʻoi aku ka maikaʻi o nā hopena.
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